Agenda and Papers for Public Board Meeting June 2013

CAMHS TIER 4 RECONFIGURATION
Business Case
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Seeks the BCHFT Board to approve the proposed solution, which has an associated
requirement for a capital investment of £8.840m.
1.3 Th e C a se fo r C ha ng e
The Trust is recognised as being the leading provider of Tier 4 CAMHS in the region delivering
high quality services. It is a core part of Trust business, delivering care to children and young
people with specialist mental health needs. However it is also recognised that this is a
competitive environment to operate in and whilst there is increased demand there is also
increased provision in the market. To enable the service to remain as the leading provider
continuing to deliver high quality services then the service needs to continue to evolve and
develop. This case focuses on the need for an improved physical environment for delivery of
services but this is only one aspect of the strategy. The service is also considering how it
continues to develop and build on its reputation and the changes already made to ensure it
remains sustainable and fit for purpose in the future. This includes looking at different
models of care so that an inpatient bed is not the only option.
Changing commissioner landscape
Within the West Midlands Tier 4 CAMHS has been commissioned on a regional basis for a
number of years, this was not the case across the rest of the country. Under the new
commissioning arrangements it is defined as a Prescribed Service and so commissioned by
NHS England. This in effect gives us a single contract for the whole of England for these
services.
Prescribed services each have a national service specification which has been developed by
the Clinical Reference Group (‘CRG’). All providers will need to demonstrate compliance with
the specification including independent sector providers. In the future the CRGs will have a
greater influence over commissioning of services and will be key in driving improvements to
services and consistency across the country. The Clinical Director for Tier 4 from BCH is a
member of the CRG.
1.4 Ke y O bj e c ti v es & B e ne fi t s
The following key objectives have been set for this project:
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Better integration of services;
High quality and safe services;
Fit for purpose and flexible accommodation;
Improved physical environment;
Improved access to services;
Improved patient and staff experience;
Better use of resources;
Improved patient and staff flows;
An increase in income to the Trust;
Creating spare capacity on the Steelhoue Lane site.
130614 BCH CAMHS Tier 4 Reconfiguration Business Case__Version 1 2- final.docx 2